Three Rivers Care
1305 ALEXANDER ST, Centralia, WA 98531
Centralia, Washington · CMS verdict
Three Rivers Care holds a 5 of 5 CMS overall star rating - above the Washington state average of 3.2, reflecting above-average quality on the federal five-star scale.
The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.
Three Rivers Care in Centralia, Washington holds a CMS overall rating of 5 of 5 stars and a PlainElderCare Quality & Compliance Index of 91 of 100 (grade A). The 83-bed facility operates where a semi-private nursing-home room in Washington runs a median of $13,155 per month. Figures are from CMS Nursing Home Compare.
PlainElderCare Quality & Compliance Index
A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall rating of 5 of 5 stars. How this is calculated.
How the 91 is built
Each segment is a dimension's weighted points toward the score, summing to 91.
Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.
Data insights
Quality ratings
CMS's most recent Care Compare release (data as of April 2026) puts Three Rivers Care's overall quality rating at 5 out of 5 stars, a composite of three sub-ratings: health inspection (5/5), staffing (4/5), and quality measures (5/5).
What each sub-rating measures
The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.
Size and setting
Located in Centralia, Washington, this facility operates 83 certified beds with an average daily census of roughly 32 residents - an occupancy rate of about 39%. The facility is classified under for profit - limited liability company ownership, a designation that can influence staffing patterns, reinvestment decisions, and admissions policy. At roughly 39% occupancy, this facility is running well below its certified bed capacity, worth asking why directly.
Same-ownership peers
Within Washington, Three Rivers Care is one of 77 for profit - limited liability company nursing homes CMS rates. Its 5-star overall rating sits above the for profit - limited liability company-segment average of 2.9 stars, ahead of roughly 82% of same-ownership peers in the state. Same-segment comparisons like this one strip out the business-model factor, leaving a cleaner read on facility-level performance than a raw state average would give.
Inspection record
On the regulatory side, federal and state surveyors have documented a moderate number of deficiencies at this facility (9 total). CMS has levied no enforcement penalties over the equivalent window. This volume of findings is worth reading past the count: CMS's F-tag scale separates isolated, low-harm citations from widespread or immediate-jeopardy ones, and only the full report shows which this facility has.
Where these figures come from
The figures above come directly from the U.S. Centers for Medicare \& Medicaid Services Nursing Home Compare dataset for federal quality ratings, combined with the CareScout 2025 Cost of Care Survey of more than 15,000 elder-care providers nationwide and U.S. Census American Community Survey income data. Cost figures are monthly medians, refreshed annually with each new CareScout release; quality ratings are refreshed quarterly from the CMS Provider Information File. Read these state and county medians as benchmarks, then verify current rates with individual providers and consult care managers before making placement decisions. See our methodology for source vintage.
How Three Rivers Care compares to Washington
CMS five-star sub-ratings (0–5) for this facility against the Washington facility-weighted average. Source: CMS Care Compare.
Bar = this facility's rating · vertical marker = Washington state average. Higher is better on all four CMS measures.
Where Three Rivers Care ranks in Washington
Among the 192 CMS-rated nursing homes in Washington, Three Rivers Care’s 5-star overall rating is higher than 76% of them. The bars show how all Washington homes spread across the CMS 1-to-5 scale; this facility’s band is highlighted.
46 Washington homes share this 5-star rating. Source: CMS Nursing Home Compare.
Facility details
| Attribute | Value |
|---|---|
| Beds | 83 |
| Residents | 32 |
| Ownership | For profit - Limited Liability company |
| County | Lewis |
| Penalties | 0 |
| Deficiencies | 9 |
Source: CMS Care Compare Nursing Homes (data as of April 2026)
What do families ask most?
What is the quality rating for Three Rivers Care? ▾
Three Rivers Care has an overall CMS quality rating of 5 out of 5 stars, with a health inspection rating of 5/5, staffing rating of 4/5, and quality measures rating of 5/5.
How much does a nursing home cost per month in Washington? ▾
CareScout's 2025 survey puts Washington's median semi-private nursing home rate at $13,155 per month ($157,859 per year), with private rooms averaging $15,969 per month.
What services does Three Rivers Care offer? ▾
With 83 beds with approximately 32 current residents, Three Rivers Care is a skilled nursing facility. It operates under for profit - limited liability company ownership, and CMS's inspection record shows 9 deficiencies and 0 penalties.
Does Three Rivers Care have any deficiencies or penalties? ▾
Three Rivers Care has multiple deficiencies (9 total) and 0 penalties recorded by CMS. A count in this range makes it worth asking staff or the facility directly which findings were minor paperwork versus resident-care issues.
What are the alternatives to a nursing home in Washington? ▾
In Washington, alternatives include assisted living ($7,600/mo), home health aides ($8,580/mo), and adult day care ($5,395/mo).
Elder Care Guides
Explore PlainElderCare
Related Resources
Compare cost and CMS quality across the state on the Washington elder-care overview, or see how facilities rank nationwide in our highest-rated states ranking.
Weigh nursing care against assisted living, home health, and adult day care, with national median costs, on our care types comparison, and learn how to fund it in our paying for elder care guide.
Source: CMS Nursing Home Compare. Provider ID: 505536.
Read our methodology - how this data is sourced, computed, and verified.